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Associations of physical activity, cardiorespiratory fitness and fatness with low-grade inflammation in adolescents: the AFINOS Study

Abstract

Objective:

To examine the independent associations of objectively measured physical activity (PA), cardiorespiratory fitness (CRF) and fatness with low-grade inflammatory markers in adolescents.

Design:

Cross-sectional study in Spain.

Subjects:

A sample of 192 adolescents aged 13–17 years.

Measurements:

PA was assessed with an accelerometer for 7 days. A 20-m shuttle-run test was used to assess CRF. Skinfold thicknesses at six sites and WCs were measured. BMI was calculated from measured height and weight. C-reactive protein (CRP), interleukin-6 (IL-6) and complement factors C3 and C4 were assayed. The homeostasis model assessment of insulin resistance (HOMA-IR) was calculated from glucose and insulin. Regression analysis adjusted for potential confounders and HOMA-IR was used to determine the associations between PA, CRF and fatness with low-grade inflammatory markers.

Results:

Total PA, vigorous PA and MVPA were positively associated with CRF (r=0.25–0.48), whereas vigorous PA was negatively associated with skinfolds (r=−0.27). CRF was inversely associated with fatness, (r=−0.30 to −0.48). CRF and fatness were inversely and positively associated with HOMA-IR (r=−0.16 and 0.21, respectively). PA variables were not independently associated with inflammatory markers. CRF and fatness were inversely and positively associated with CRP, C3 and C4, respectively. Only body fat explained a relevant amount of the variance of the model in CRP (4%) and C4 (19%), whereas CRP and body fat jointly explained the variance in C3 (25%). All these observations were independent of HOMA-IR.

Conclusions:

These findings support the key role of CRF and fatness on low-grade inflammation, as well as the possible indirect role of habitual PA through CRF and body fat in adolescents.

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References

  1. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K et al. Heart disease and stroke statistics—2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2009; 119: e21–181.

    PubMed  Google Scholar 

  2. Insull Jr W . The pathology of atherosclerosis: plaque development and plaque responses to medical treatment. Am J Med 2009; 122 (Suppl 1): S3–S14.

    Article  CAS  Google Scholar 

  3. Hansson GK . Inflammation, atherosclerosis, and coronary artery disease. N Engl J Med 2005; 352: 1685–1695.

    Article  CAS  Google Scholar 

  4. Braunwald E . Biomarkers in heart failure. N Engl J Med 2008; 358: 2148–2159.

    Article  CAS  Google Scholar 

  5. Wärnberg J, Marcos A . Low-grade inflammation and the metabolic syndrome in children and adolescents. Curr Opin Lipidol 2008; 19: 11–15.

    Article  Google Scholar 

  6. Ridker PM, Stampfer MJ, Rifai N . Novel risk factors for systemic atherosclerosis: a comparison of C-reactive protein, fibrinogen, homocysteine, lipoprotein(a), and standard cholesterol screening as predictors of peripheral arterial disease. JAMA 2001; 285: 2481–2485.

    Article  CAS  Google Scholar 

  7. Järvisalo MJ, Harmoinen A, Hakanen M, Paakkunainen U, Viikari J, Hartiala J et al. Elevated serum C-reactive protein levels and early arterial changes in healthy children. Arterioscler Thromb Vasc Biol 2002; 22: 1323–1328.

    Article  Google Scholar 

  8. Bastard JP, Maachi M, Lagathu C, Kim MJ, Caron M, Vidal H et al. Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw 2006; 17: 4–12.

    CAS  Google Scholar 

  9. Oksjoki R, Kovanen PT, Pentikäinen MO . Role of complement activation in atherosclerosis. Curr Opin Lipidol 2003; 14: 477–482.

    Article  CAS  Google Scholar 

  10. Engström G, Hedblad B, Janzon L, Lindgärde F . Complement C3 and C4 in plasma and incidence of myocardial infarction and stroke: a population-based cohort study. Eur J Cardiovasc Prev Rehabil 2007; 14: 392–397.

    Article  Google Scholar 

  11. Wärnberg J, Nova E, Romeo J, Moreno LA, Sjöström M, Marcos A . Lifestyle-related determinants of inflammation in adolescence. Br J Nutr 2007; 98 (Suppl 1): S116–S120.

    Article  Google Scholar 

  12. Kampert JB, Blair SN, Barlow CE, Kohl III HW . Physical activity, physical fitness, and all-cause and cancer mortality: a prospective study of men and women. Ann Epidemiol 1996; 6: 452–457.

    Article  CAS  Google Scholar 

  13. Adams KF, Schatzkin A, Harris TB, Kipnis V, Mouw T, Ballard-Barbash R et al. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med 2006; 355: 763–778.

    Article  CAS  Google Scholar 

  14. Steele RM, Brage S, Corder K, Wareham NJ, Ekelund U . Physical activity, cardiorespiratory fitness, and the metabolic syndrome in youth. J Appl Physiol 2008; 105: 342–351.

    Article  Google Scholar 

  15. Eisenmann JC . Aerobic fitness, fatness and the metabolic syndrome in children and adolescents. Acta Paediatr 2007; 96: 1723–1729.

    Article  Google Scholar 

  16. Eisenmann JC, Welk GJ, Wickel EE, Blair SN, Aerobics Center Longitudinal Study. Stability of variables associated with the metabolic syndrome from adolescence to adulthood: the Aerobics Center Longitudinal Study. Am J Hum Biol 2004; 16: 690–696.

    Article  Google Scholar 

  17. Thomas NE, Williams DR . Inflammatory factors, physical activity, and physical fitness in young people. Scand J Med Sci Sports 2008; 18: 543–556.

    Article  CAS  Google Scholar 

  18. Sirard JR, Pate RR . Physical activity assessment in children and adolescents. Sports Med 2001; 31: 439–454.

    Article  CAS  Google Scholar 

  19. Imperatore G, Cheng YJ, Williams DE, Fulton J, Gregg EW . Physical activity, cardiovascular fitness, and insulin sensitivity among US adolescents: the National Health and Nutrition Examination Survey 1999–2002. Diabetes Care 2006; 29: 1567–1572.

    Article  Google Scholar 

  20. Moreno LA, Joyanes M, Mesana MI, González-Gross M, Gil CM, Sarría A et al. Harmonization of anthropometric measurements for a multicenter nutrition survey in Spanish adolescents. Nutrition 2003; 19: 481–486.

    Article  Google Scholar 

  21. Tanner JM, Whitehouse RH . Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child 1976; 51: 170–179.

    Article  CAS  Google Scholar 

  22. Freedson P, Pober D, Janz KF . Calibration of accelerometer output for children. Med Sci Sports Exerc 2005; 37 (Suppl 11): S523–S530.

    Article  Google Scholar 

  23. Martínez-Gómez D, Welk GJ, Calle ME, Marcos A, Veiga OL, the AFINOS Study Group. Preliminary evidence of physical activity levels measured by accelerometer in Spanish adolescents. The AFINOS Study. Nutr Hosp 2009; 24: 212–218.

    Google Scholar 

  24. Leger LA, Mercier D, Gadoury C, Lambert J . The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci 1988; 6: 93–101.

    Article  CAS  Google Scholar 

  25. Gungor N, Saad R, Janosky J, Arslanian S . Validation of surrogate estimates of insulin sensitivity and insulin secretion in children and adolescents. J Pediatr 2004; 144: 47–55.

    Article  CAS  Google Scholar 

  26. Ruiz JR, Ortega FB, Warnberg J, Sjöström M . Associations of low-grade inflammation with physical activity, fitness and fatness in prepubertal children; the European Youth Heart Study. Int J Obes (Lond) 2007; 31: 1545–1551.

    Article  CAS  Google Scholar 

  27. Ischander M, Zaldivar Jr F, Eliakim A, Nussbaum E, Dunton G, Leu SY et al. Physical activity, growth, and inflammatory mediators in BMI-matched female adolescents. Med Sci Sports Exerc 2007; 39: 1131–1138.

    Article  CAS  Google Scholar 

  28. Syrenicz A, Garanty-Bogacka B, Syrenicz M, Gebala A, Walczak M . Low-grade systemic inflammation and the risk of type 2 diabetes in obese children and adolescents. Neuro Endocrinol Lett 2006; 27: 453–458.

    CAS  PubMed  Google Scholar 

  29. Zahavi I, Yaari S, Salman H, Creter D, Rudnicki C, Brandis S et al. Plasma fibrinogen in Israeli Moslem and Jewish school-children: distribution and relation to other cardiovascular risk factors. The Petah Tikva project. Isr J Med Sci 1996; 32: 1207–1212.

    CAS  PubMed  Google Scholar 

  30. Platat C, Wagner A, Klumpp T, Schweitzer B, Simon C . Relationships of physical activity with metabolic syndrome features and low-grade inflammation in adolescents. Diabetologia 2006; 49: 2078–2085.

    Article  CAS  Google Scholar 

  31. Cook DG, Mendall MA, Whincup PH, Carey IM, Ballam L, Morris JE et al. C-reactive protein concentration in children: relationship to adiposity and other cardiovascular risk factors. Atherosclerosis 2000; 149: 139–150.

    Article  CAS  Google Scholar 

  32. McVean JJ, Carrel AL, Eickhoff JC, Allen DB . Fitness level and body composition are associated with inflammation in non-obese children. J Pediatr Endocrinol Metab 2009; 22: 153–159.

    Article  Google Scholar 

  33. Wärnberg J, Nova E, Moreno LA, Romeo J, Mesana MI, Ruiz JR et al. Inflammatory proteins are related to total and abdominal adiposity in a healthy adolescent population: the AVENA Study. Am J Clin Nutr 2006; 84: 505–512.

    Article  Google Scholar 

  34. Gerich JE . Is insulin resistance the principal cause of type 2 diabetes? Diabetes Obes Metab 1999; 1: 257–263.

    Article  CAS  Google Scholar 

  35. Labayen I, Ortega FB, Sjöström M, Ruiz JR . Early life origins of low-grade inflammation and atherosclerosis risk in children and adolescents. J Pediatr 2009; 155: 673–677.

    Article  CAS  Google Scholar 

  36. Labayen I, Ortega FB, Sjöström M, Nilsson TK, Olsson LA, Ruiz JR . Association of common variants of UCP2 gene with low grade-inflammation in Swedish children and adolescents; the European Youth Heart Study. Pediatr Res 2009; 66: 350–354.

    Article  Google Scholar 

  37. Ruiz JR, Ortega FB, Wärnberg J, Moreno LA, Carrero JJ, Gonzalez-Gross M et al. Inflammatory proteins and muscle strength in adolescents: the Avena study. Arch Pediatr Adolesc Med 2008; 162: 462–468.

    Article  Google Scholar 

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Acknowledgements

This study was financially supported by the Spanish Ministry of Education and Science (DEP2006-56184-C03-02/PREV and AP2006-02464). We thank the adolescents and their parents who participated in this study.

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Correspondence to A Marcos.

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The authors declare no conflict of interest.

Appendix

Appendix

Study coordinator: A. Marcos.

Sub-study coordinators: ME Calle, A Villagra A Marcos.

Sub-study-1: ME Calle, E Regidor, D Martínez-Hernández, Esteban-Gonzalo L. Department of Preventive Medicine and Public Health, Universidad Complutense de Madrid, Madrid E-28040, Spain.

Sub-study-2: A Villagra, OL Veiga, J del-Campo, JM Moya, D Martínez-Gómez, B Zapatera. Facultad de Formación del Profesorado y Educación, Department of Physical Education, Sport and Human Movement, Universidad Autonoma de Madrid, Madrid E-28049, Spain.

Sub-study-3: A Marcos, S Gómez-Martínez, E Nova, J Wärnberg, J Romeo, LE Diaz, T Pozo, MA Puertollano, D Martínez-Gómez, B Zapatera, A Veses. Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Instituto del Frio, Spanish National Research Council (CSIC), Madrid E-28040, Spain.

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Martinez-Gomez, D., Eisenmann, J., Wärnberg, J. et al. Associations of physical activity, cardiorespiratory fitness and fatness with low-grade inflammation in adolescents: the AFINOS Study. Int J Obes 34, 1501–1507 (2010). https://doi.org/10.1038/ijo.2010.114

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